We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Position Summary
The Claims Assist Manager (CAM) team is seeking a Manager, CAM Business Integration & Readiness, to support the implementation and operational integration of CAM capabilities across multiple lines of business. This role serves as a key liaison across Operations, Product, Technology, and business leadership to help ensure new capabilities are translated into business processes, implemented effectively, and sustained within day-to-day operations.
This colleague will coordinate cross-functional execution, partner with business subject matter experts, support testing and implementation activities, and help drive alignment on dependencies, timelines, and operational impacts. The role works closely with CAM senior leaders and cross-functional partners across Commercial, Medicare, and Medicaid to help translate strategic priorities into business execution and operational outcomes.
Fundamental Components
Support implementation and operational integration activities across Commercial, Medicare, and Medicaid claims operations
Partner with senior leaders and operational leaders to align priorities, timelines, dependencies, and resource needs
Coordinate cross-functional collaboration across operations, product, technology, analytics, training, and other business partners to support successful execution
Identify and coordinate business SMEs to support discovery, requirements validation, testing, implementation, and rollout activities
Facilitate working sessions to gather operational insights, define business needs, validate workflow impacts, and support business decision-making
Ensure frontline operational feedback is incorporated into capability enhancements and future roadmap discussions
Support consistent processes for intake, prioritization, issue resolution, and business decision-making
Support business UAT strategies, plans, and execution activities
Coordinate tester participation across lines of business and stakeholder groups
Track testing progress, defects, business decisions, and sign-off activities
Partner with technology teams to resolve defects, assess operational impact, and support release execution
Help ensure business validation is completed before production release
Support communication, training, and change activities associated with CAM releases as part of successful implementation
Track operational risks, adoption barriers, and improvement opportunities following release
Partner with leaders to support sustained utilization, operational integration, and value realization
Support governance forums, working groups, and leadership reviews
Monitor and track risks, issues, decisions, and action items
Maintain documentation related to approvals, testing outcomes, business impacts, and deployment activities
Help ensure implementations align with business, compliance, and operational requirements
Contribute to governance processes that support scalable, controlled CAM growth
Required Qualifications
5+ years of experience in healthcare operations, claims, program management, process improvement, or related functions
Demonstrated experience coordinating cross-functional initiatives involving multiple stakeholders
Experience supporting implementation, testing, operational integration, or business execution efforts
Strong facilitation, communication, and stakeholder management skills
Strong organizational, problem-solving, and execution skills
Ability to manage multiple concurrent workstreams in a fast-paced environment
Proficiency with Microsoft Office Suite and collaboration tools
Preferred Qualifications
ACAS experience preferred
Health claims processing experience within Commercial, Medicare, or Medicaid environments
Experience supporting automation, AI-enabled solutions, workflow modernization, or digital transformation initiatives
Experience coordinating large-scale UAT and production implementations
Knowledge of change management and adoption strategies in support of implementation success
Familiarity with governance, compliance, and operational risk management practices
Education
Bachelor's degree or equivalent work experience preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 11/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
